# MONTEREY PENINSULA SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capitola Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407116361
- **Authorized official:** MS. CARRIE MILLSAP BSN (CEO)
- **Authorized official phone:** (831) 372-2169

## Contact information

- **Practice address:** 2265 41ST AVENUE, CAPITOLA, CA 95010
- **Practice address phone:** (831) 372-2169
- **Practice address fax:** (831) 372-6323
- **Mailing address:** 9699 BLUE LARKSPUR LN STE 202, MONTEREY, CA 93940-6552
- **Mailing address phone:** (831) 372-2169
- **Mailing address fax:** (831) 372-6323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2012
- **Last updated:** 12/31/2025